Re: [echocardiography] (unknown)
The protocol for diagnosing endocarditis is...
First the patient must have 2 positive blood cultures ( which are consecutive).
The patient must also have a positive transthoracic echo showing the vegetation in at least 2 views and/or a positive transesophageal echo showing veg on any valve or line.
The diagnosis of endocarditis depends on if all of these are positive. Without positive cultures it is hard to prove that you are seeing actual infection on the line.
How this helps
Ashley Gesme, BSE, RDCS
Sutter Health, Sacramento, CA
- In addition to the intracardiac valves, I usually check the pacemaker wire as well as the SVC and IVC for any indication of vegetations.CarlosSent from Samsung Mobile
Lenora <figueroa_lenora@...> wrote:
Hello EricI just scanned a patient with an ICD and his symptoms consisted of night sweats, fever, chest pain and by echo the valves looked clean, however during the TEE a vegetation was attached to the ICD line. Very subtle.
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On Apr 28, 2013, at 4:56 PM, "eric" <vidale2003@...> wrote:
I would like to listen you opinion about endocarditis in patient with
pacemakers or ICD , if the patient no have valves lesions in echo
images. which,s the criterios to diagnosis of endocarditis in this
eric Vidal, MD